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Individual

GODFFERY R TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
130 S BRYN MAWR AVE, SUITE H-321, BRYN MAWR, PA 19010-3121
(484) 337-4097
(484) 337-4082
Mailing address
130 S BRYN MAWR AVE, SUITE H-321, BRYN MAWR, PA 19010-3121
(484) 337-4097
(484) 337-4082

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD059869L
PA
208M00000X
Hospitalist Physician
MD059869L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001776843
PA
01
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
02/21/2006
Last updated
10/07/2011
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